PaediatricsAnthropometry and nutrition
Growth percentile calculator for children and teenagers
Enter the child’s age or date of birth, sex and measurements. We calculate weight, height, BMI, weight-for-length and head circumference percentiles, plot them on the chart and keep a measurement history.
Growth charts
Measurement history
| Age | Weight | Height | BMI | Head circ. | Delete |
|---|
Measurements are saved only in this browser.
How to read percentiles
A percentile shows what share of healthy children of the same age and sex have a lower value. The 25th height percentile means 25% are shorter and 75% taller.
| Percentile | Meaning |
|---|---|
| < 3 | below the normal range — needs assessment |
| 3–10 | borderline — monitor |
| 10–90 | normal |
| 90–97 | borderline — monitor |
| > 97 | above the normal range — needs assessment |
The growth trajectory matters more than a single measurement: a child who grows steadily along one centile channel is growing harmoniously, even if it is a low channel. Crossing two centile lines up or down is a warning sign.
BMI in children
In children BMI is assessed for age and sex. In the Polish charts (3–18 years) the overweight, obesity and underweight limits are the centiles that reach a BMI of 25, 30 and 18.5 kg/m² at age 18 (IOTF-like method):
| Boys | Girls | |
|---|---|---|
| Underweight | < 8.4 c | < 15.8 c |
| Overweight | ≥ 82.9 c | ≥ 90.5 c |
| Obesity | ≥ 97.5 c | ≥ 98.6 c |
Under 5 years (WHO standards) BMI and weight-for-length are assessed in standard deviations: above +1 SD — risk of overweight, above +2 SD — overweight, above +3 SD — obesity, below −2 SD — wasting. In the WHO 2007 references (5–19 years) overweight is above +1 SD, obesity above +2 SD and thinness below −2 SD.
Charts and method
Polish charts (as recommended by the Children’s Memorial Health Institute, Warsaw): WHO standards up to 3 years, OLA study 3–6 years, OLAF study 7–18 years; between 6 and 7 years we interpolate between OLA and OLAF. WHO charts: growth standards 0–5 years and the WHO 2007 reference 5–19 years (weight-for-age only up to 10 years). Head circumference and weight-for-length/height use WHO up to 5 years.
Percentiles use Cole’s LMS method: z = ((X/M)L − 1) ÷ (L × S); the percentile is the normal cumulative distribution of z. For WHO weight-based indicators beyond ±3 SD we apply the WHO-recommended restriction.
Limitations
- For babies born preterm, use the corrected age up to 2 years (chronological age minus weeks of prematurity).
- The charts describe healthy children and are not suitable for genetic syndromes (e.g. Down or Turner syndrome), which have their own charts.
- At 3 years (Polish charts) and 5 years (WHO) the reference changes, so the percentile may shift slightly without any change in growth.
- The calculator does not replace a doctor’s assessment; the growth trajectory, history and examination decide on further tests.
Sources
- Kułaga Z, Różdżyńska-Świątkowska A, Grajda A, et al. Siatki centylowe dla oceny wzrastania i stanu odżywienia polskich dzieci i młodzieży od urodzenia do 18 roku życia. Standardy Medyczne/Pediatria 2015;12:119–135. nauka.czd.pl
- Kułaga Z, Litwin M, Tkaczyk M, et al. Polish 2010 growth references for school-aged children and adolescents (OLAF). Eur J Pediatr 2011;170:599–609 (CC BY-NC). doi.org
- Kułaga Z, Grajda A, Gurzkowska B, et al. Polish 2012 growth references for preschool children (OLA). Eur J Pediatr 2013;172:753–761. doi.org
- WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age. WHO, 2006 (CC BY-NC-SA 3.0 IGO). www.who.int
- de Onis M, Onyango AW, Borghi E, et al. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 2007;85:660–667. www.who.int
- Cole TJ. The LMS method for constructing normalized growth standards. Eur J Clin Nutr 1990;44:45–60.
Frequently asked questions
Which percentile is normal?
Polish or WHO charts — which should I use?
Can I enter the age in days?
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This calculator is for education and does not replace a doctor’s assessment. Always interpret the result together with the history and examination.